Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $204.17 / $537.03	Facility		$83.18	$204.17	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $389.05	Professional		$74.13	$89.13	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $323.59 / $891.25	Facility		$173.78	$323.59	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $102.33 / $194.98	Professional		$38.90	$102.33	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $190.55	Professional		$89.13	$125.89	$190.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $707.95	Professional		$109.65	$154.88	$707.95
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $141.25	Professional		$117.49	$117.49	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $60.26 / $165.96	Facility		$21.38	$60.26	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $173.78	Professional		$89.13	$112.20	$173.78